Type 1 diabetes

Cluster analysis of adult individuals with type 1 diabetes: Treatment pathways and complications over a five-year follow-up period

Diabetes Res Clin PractPublished Cluster analysis of registry cohort data

Authors' conclusion

Clinical characteristics can identify subgroups of patients with T1DM showing differences in treatment and complications during follow-up.

Study context

Population
Adults with T1D, T1DExchange Registry
Participants
6,302 adults
Exposure
Five data-driven clusters of adults with T1D
Outcome
Subgroups of adults with T1D, their treatment pathways and risk of diabetes-related complications
Follow-up
5-year follow-up
Methodological detailsk-means cluster analysis, Cox regression, 5-year follow-up
  • K-means cluster analysis
  • Cox regression
  • 5-year follow-up

Main finding

As reported in the abstract

Cluster distribution

Observational data: associations, not effects.

Further findings

Treatment pathways

Technology adoption showed improved glycaemic control over time

Complication risk (Cox proportional hazards)

Cluster 1: low complication risk
Cluster 2: highest risk for retinopathy, coronary artery disease and autonomic neuropathy
Cluster 3: highest risk for albuminuria, depression and DKA
Cluster 4: increased risk for multiple complications
Cluster 5: highest risk for hypertension and severe hypoglycaemia, elevated coronary artery disease risk

Original publication

Cluster analysis of adult individuals with type 1 diabetes: Treatment pathways and complications over a five-year follow-up period. Diabetes Res Clin Pract. Published 30 July 2024. doi:10.1016/j.diabres.2024.111803

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